{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T18:15:54Z","timestamp":1783707354004,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,4,25]],"date-time":"2013-04-25T00:00:00Z","timestamp":1366848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The effect of muscular training, abdominal massage and diaphragmatic breathing was compared with medical treatment in a prospective randomized trial of patients with chronic functional constipation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients aged 4\u201318\u00a0years old with functional constipation according to the Rome <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> criteria were randomized to physiotherapy or medical treatment. In the physiotherapy group, exercises (isometric training of the abdominal muscles, diaphragmatic breathing exercises and abdominal massage) were employed during 12\u00a040\u2010min sessions twice a week by a trained physiotherapist, with laxatives. Patients in the medication group were only given laxatives. Primary outcome measures were frequency of defaecation and faecal incontinence. The analysis was performed by intention\u2010to\u2010treat.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After 6\u00a0weeks of treatment, the frequency of bowel movements was higher in the physiotherapy group [5.1 (2.1) days\/week] than in the medication group [3.9 (2.0) days\/week] (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.01). The frequency of faecal incontinence was no different between the groups [3.6 (1.9) days\/week <jats:italic>vs<\/jats:italic> 3.0 (2.1) days\/week] (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.31).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The combined use of isometric training of abdominal muscles, breathing exercises and abdominal massage increased defaecation frequency after 6\u00a0weeks but faecal incontinence remained unchanged. Physiotherapy may be a useful treatment for constipation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12160","type":"journal-article","created":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T20:14:06Z","timestamp":1359749646000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":72,"title":["The use of abdominal muscle training, breathing exercises and abdominal massage to treat paediatric chronic functional constipation"],"prefix":"10.1111","volume":"15","author":[{"given":"C. A. G.","family":"Silva","sequence":"first","affiliation":[{"name":"P\u00f3s\u2010Gradua\u00e7\u00e3o em Sa\u00fade da Crian\u00e7a e do Adolescente Universidade Federal de Pernambuco Recife Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. E. F. 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